Free Enduring Power of Attorney Form

Please fill out this form to designate someone to make financial and legal decisions on your behalf, both now and in the event that you become incapacitated.
Principal Information
Name
Address
Phone Number
Authorized Agent Information
Name
Address
Phone Number
Powers Granted
The Attorney-in-Fact (Agent) is authorized to act on behalf of the Principal in the following matters:
Financial Management (Banking, Investments, etc.)
Property Management (Buying, Selling, Renting, etc.)
Legal Decisions (Lawsuits, Contracts, etc.)
Healthcare Decisions
Effective Date
Termination Date
This power of attorney will remain in effect until:
Principal's Signature
Name:
Date:
Agent’s Signature
Name:
Date:
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